Increasing prevalence of Gestational Diabetes Mellitus when implementing the IADPSG criteria: a systematic review and meta-analysis

Saeedi, Maryam,1991-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Obstetrics and Gynecology (author)

Increasing prevalence of Gestational Diabetes Mellitus when implementing the IADPSG criteria : a systematic review and meta-analysis

Funding Agency:ALF funding Region Örebro County OLL-930268, 2019, OLL-889211, 2019
AIMS: Quantify the proportional increase in gestational diabetes (GDM) prevalence when implementing the new International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria compared to prior GDM criteria, and to assess risk factors that might affect the change in prevalence.METHODS: A systematic review and meta-analysis was performed of cohort and cross-sectional studies between January 1, 2010 to December 31, 2018 among pregnant women with GDM using IADPSG criteria compared to, and stratified by, old GDM criteria. Web of science, PubMed, EMBASE, Cochrane, Open Grey and Grey literature reports were included. The relative risk for each study was calculated. Subgroup analyses were performed by maternal age, body mass index, study design, country of publication, screening method, sampling method and data stratified according to diagnostic criteria.RESULTS: Thirty-one cohort and cross-sectional studies with 136 705 women were included. Implementing the IADPSG criteria was associated with a 75% (RR 1.75, 95% CI 1.53-2.01) increase in number of women with GDM with evidence of heterogeneity CONCLUSIONS: The IADPSG criteria increase the prevalence of GDM, but allow movement towards more homogeneity. More studies are needed of the benefits, harms, psychological effects and health costs of implementing the IADPSG criteria.

Cao, Yang,Associate Professor,1972-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Clinical Epidemiology and Biostatistics(Swepub:oru)yco (author)
Fadl, Helena,1965-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Obstetrics and Gynecology(Swepub:oru)hfl (author)
Gustafson, HanneDepartment of Geriatrics, Örebro University Hospital, Region Örebro County, Sweden (author)
Simmons, David,1959-Örebro universitet,Institutionen för medicinska vetenskaper,Macarthur Clinical School, Western Sydney University, Campbelltown, Australia(Swepub:oru)dss (author)
Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Endocrinology an ...

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